A 3-year-old boy who has been on chemotherapy for cancer complains about a sore throat, is experiencing malaise, and has a temperature of 99.8 degrees F orally. His mother calls the office
Which instruction by the nurse would be most appropriate at this time? A) Continue watching him and give him aspirin and cool fluids.
B) Plan to bring the child into the physician's office today.
C) Monitor the temperature, but don't worry unless it gets above 104 degrees F.
D) Keep the child as warm and as comfortable as possible.
B
Response:
The child could be very ill, and some chemotherapy agents mask the signs of infection. The child needs to be evaluated. Aspirin is not used for children of this age because of the risk for Reye's syndrome. Continued monitoring is appropriate but only after the child is evaluated. The child should be dressed lightly, and warm binding clothes or blankets should be avoided.
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